MISTY SHADDUCK LPN
NPI 1043080476
Licensed Practical Nurse in Mesa, AZ
NPI Status: Active since January 05, 2024
Contact Information
455 N MESA DR STE 8E
MESA, AZ
ZIP 85201
Phone: (937) 768-2544
Fax: (877) 991-6652
- Individual
- Female
- Licensed Practical Nurse
About MISTY SHADDUCK
This page provides the complete NPI Profile along with additional information for Misty Shadduck, a provider established in Mesa, Arizona with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1043080476 assigned on January 2024. The practitioner's primary taxonomy code is 164W00000X with license number PN301121 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1043080476
- Provider Name
- MISTY SHADDUCK LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 455 N MESA DR STE 8E MESA, AZ 85201
- Location Phone
- (937) 768-2544
- Location Fax
- (877) 991-6652
- Mailing Address
- 70 S VAL VISTA DR # A3-618 GILBERT, AZ 85296
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-05-2024
- Last Update Date
- 01-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- PN301121
- License State
- PA
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 164W00000X | Nursing Service Providers | Licensed Practical Nurse | 32549101 (NY) |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Reviews for MISTY SHADDUCK LPN
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043080476, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043080476, enumerated as an "individual" on January 05, 2024.
The provider is located at 455 N MESA DR STE 8E MESA, AZ 85201 and the phone number is (937) 768-2544.
Licensed Practical Nurse with taxonomy code 164W00000X.
